Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Bo Tyler Headlam, M.D.

Q: What is the NPI number for Bo Headlam?

The National Provider Identifier (NPI) for Bo Headlam is 1619939246, a Type 1 (individual) record in the CMS NPPES registry.

Interventional Pain Medicine Physician in Portsmouth, OH · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619939246

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Registry record

Entity type Individual (Type 1)

Name Dr. Bo Tyler Headlam

Credential M.D.

Sex Male

Practice address 1735 27th St, Waller Building, Suite 302, Portsmouth, OH, 45662

Phone (740) 356-6808

Fax (740) 356-6826

Enumeration date Apr 6, 2006

Last updated in NPPES Feb 19, 2025

Taxonomy & licenses

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 25588 (NE) Secondary

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 036115263 (IL) Secondary

208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians · License 25588 (NE) Secondary

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License 25588 (NE) Secondary

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License 036115263 (IL) Secondary

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 35120229 (OH) Secondary

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License 35120229 (OH) Secondary

208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians · License 35120229 (OH) Secondary

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 286498 (NY) Secondary

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License 286498 (NY) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
4632039	Other	IL	BCBS GROUP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Bo Headlam?

The National Provider Identifier (NPI) for Bo Headlam is 1619939246, a Type 1 (individual) record in the CMS NPPES registry.

Where does Bo Headlam practice?

The practice location on file with NPPES is in Portsmouth, OH. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-02-19.